Associations Between Religious/Spiritual Coping and Depression Among Adults with Cystic Fibrosis: A 12-Month Longitudinal Study
Abstract
Individuals with cystic fibrosis (CF) face a challenging disease, and depression is a significant concern. Many patients draw on religious/spiritual resources to assist them in managing the demands of chronic illness; however, these coping efforts rarely have been evaluated among adults with CF. This longitudinal study examined relationships between distinct types of positive and negative religious/spiritual coping at baseline (assessed with the RCOPE) and depression screening outcomes 12 month later (assessed with the Hospital Anxiety and Depression Scale). In logistic regression analyses controlling for disease severity (FEV 1% predicted), lower likelihood of depression caseness at 12 months was predicted by higher general religiousness at baseline, greater use of benevolent religious reappraisal coping, greater use of spiritual connection coping, and lower spiritual discontent. Results suggest that distinct aspects religious/spiritual coping have differential associations with subsequent depression outcomes. Findings extend prior research to an important, understudied medical population, and address a clinically meaningful outcome.
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Religious adults with mental illness may use R/S practices as an effective means to reduce mental distress and may seek out R/S leaders more to support this use of religion.
“These findings suggest that religious adults with mental illness may use R/S practices as an effective means to reduce levels of mental distress and may seek out R/S leaders more to support their use of religion to this end.”
From Religiosity & mental health seeking behaviors among U.S. adults (2024) · cites this paper as [37]
A study of religious coping strategies found that religious individuals who used spiritual coping strategies reported lower levels of depression and anxiety.
“For example, a study of religious coping strategies found that religious individuals who used spiritual coping strategies reported lower levels of depression and anxiety. 37”
From Religiosity & mental health seeking behaviors among U.S. adults (2024) · cites this paper as [37]
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- Authors
- Sherman, A. C., Simonton-Atchley, S., O’Brien, C. E., Campbell, D., Reddy, R. M., Guinee, B., Wagner, L. D., & Anderson, P. J.
- Affiliations
- University of Arkansas for Medical Sciences (US)
- Central Arkansas Veterans Healthcare System (US)
- CHI St. Vincent (US)
- Arkansas Children's Hospital (US)
- Corresponding author
- Sherman, Allen C.
- Venue
- Journal of Religion and Health
- Published
- 2021-02-11
- Volume
- 60
- Issue
- 4
- Pages
- 2646-2661
- ISSN
- 0022-4197 (ISSN-L)
- 1573-6571
- OpenAlex
- W3128226883
- Cited by
- 15
- References
- 59
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 4 · 2022: 3
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Religion and Health (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Social Sciences › Demography › Workplace Spirituality and Leadership
- Keywords
- cystic fibrosis, depression, religious coping, spiritual coping, positive and negative coping, spiritual connection, religiosity, chronic disease, adults with cystic fibrosis
- MeSH terms
- Adaptation, Psychological, Adult, Cystic Fibrosis, Depression, Humans, Longitudinal Studies, Spirituality
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